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Navy and Marine Corps Medical News 


November 10, 2000 

Navy and Marine Corps Medical News (MEDNEWS) is a weekly 
compendium of news and information contributed by commands 
throughout the Navy medical department . Information contained in 
MEDNEWS stories is not necessarily endorsed by Navy Bureau of 
Medicine and Surgery (BUMED) , nor should it be considered 
official Navy policy. 

BUMED distributes MEDNEWS to Sailors and Marines, their 
families, civilian employees and retired Navy and Marine Corps 
families. Further distribution is highly encouraged. 

Stories in MEDNEWS use these abbreviations after a Navy 
medical professional 's name to show affiliation: MC — Medical 
Corps (physician) ; DC - Dental Corps; NC - Nurse Corps; MSC - 
Medical Service Corps (clinicians , researchers and 
administrative managers) . Hospital Corpsmen (HM) and Dental 
Technician (DT) designators are placed in front of their names. 

Contents for this week's MEDNEWS: 

— Put out that smoke at the Great American Smokeout 

— Pearl Harbor clinic scores high on JCAHO exam 

— Miramar dental technicians to the rescue 

— NMC San Diego sponsors fourth annual Navy trauma symposium 

— USNH Okinawa supports state department 

— TRICARE question and answer 

— Healthwatch: The truth about fad diets 


Headline: Put out that smoke at the Great American Smokeout 
From Department of Defense Public Affairs 

WASHINGTON - Some people who have quit smoking may tell you 
that it was the hardest thing they've ever done. They may also 
tell you that it was the smartest thing they've ever done. 

This year, more than seven out of every 10 smokers will 
attempt to quit. The greatest challenge isn't deciding to quit; 
most know it is the right thing to do. The greatest challenge is 
actually doing it . 

The Department of Defense is urging all service members, 
civilian employees and their families who smoke or use tobacco 
products to participate in the Great American Smokeout on Nov. 

"The first step in quitting is to prepare to quit, " said J. 
Jarrett Clinton, acting assistant secretary of defense for 

health affairs said. "This means picking a day. Why not the 
Great American Smokeout when millions of other Americans quit?" 

Clinton continued to say that the next step in quitting 
includes selecting a method to quit. 

"Your medical service providers can help you choose the 
program that is right for you. We want everyone to know that if 
you want to quit, there are people and programs available to 
help you succeed, " said Clinton. 

Don't delay your decision to quit. Smoking is an issue that 
affects the health of everyone in the family, not just the 
smoker. Too often, it is the family of the smoker that suffers 
the effects of second— hand smoke. Lung and nasal sinus cancer, 
heart disease and sudden infant death syndrome (SIDS) have all 
been linked to the effects of second-hand smoke. 

Once you have picked the day to quit, and enlisted the 
assistance of your health care provider in selecting the method, 
it is time to do it. What better reason than the health of 
yourself and your family to mark Nov. 16 as the day to stop 
smoking and begin living tobacco free. 


Headline: Pearl Harbor clinic scores high on JCAHO exam 
From Naval Medical Clinic Pearl Harbor 

PEARL HARBOR - Making sure we provide our beneficiaries with 
the highest quality healthcare in a timely and efficient manner 
has always been Naval Medical Clinic Pearl Harbor's number one 
priority . 

This commitment to quality was reaffirmed when the command 
received a score of 95 out of a possible 100 during the recent 
Joint Commission on Accreditation of Healthcare Organizations 
(JCAHO) . The Counseling in Alcohol Assistance Center (CAAC) was 
awarded a score of 99 out of a possible 100 by the Behavioral 
Health Care standards. 

The survey, conducted every three years, evaluates healthcare 
organizations based on JCAHO developed, state-of-the-art, 
standards and evaluates the compliance of healthcare 
organizations against these measurements. 

Within the Department of the Navy, Naval Medical Clinic Pearl 
Harbor has the highest score to date for a free standing 
ambulatory care facility. 

Accreditation by the JCAHO is a recognized nationwide symbol 
for quality that indicates an organization meets or exceeds the 
highest levels of patient care possible. 


Headline: Miramar dental technicians to the rescue 
From Marine Corps Air Station Miramar 

SAN DIEGO, Ca. - Dental technicians from First Dental 
Battalion/Naval Dental Center, Marine Corps Air Station, 
Miramar, quickly responded to an accident that trapped fellow 
servicemen in a five-ton military truck. 

While driving, three dental technicians noticed an overturned 
military truck, with a military generator on top of it . The 
Marines pulled over, jumped an embankment and began to assist 

the victims . 

DT2 Eugene Allen and DT3 Daniel Huerta approached the 
accident to assess the situation while DT3 Todd Johnson called 
911 on his cell phone. Huerta and Allen began triage on both the 
driver and passenger, making sure there were no back injuries 
before removing them from the vehicle. 

The driver sustained minor injuries to his wrist and arm and 
was monitored for shock symptoms . The passenger sustained minor 
injuries to the head, arms and back. 

The passenger was then wrapped in a blanket and told to lie 
down and apply direct pressure to a large laceration on the back 
of his head. Both men were continuously asked questions and 
monitored for shock. 

When emergency crews arrived, the three dental technicians 
relayed patient information. Their quick action and response 
helped save the victims from severe injury that could have been 
serious if left unattended. 


Headline: NMC San Diego sponsors fourth annual Navy trauma 

From Naval Medical Center San Diego 

SAN DIEGO, Ca. - Naval Medical Center San Diego is sponsoring 
its Fourth Annual Navy Trauma Symposium November 16—17. This 
year's theme is "Bringing 21st Century Trauma Care to the Low 
Intensity Theater. " 

The program is supported by the Navy's Bureau of Medicine and 
Surgery (BUMED) , TRICARE Region Nine, Distributive Learning 
Networks and the Henry M. Jackson Foundation. 

This live, interactive, two-day symposium will capture the 
team concept of trauma care. The target audience is physicians 
but highlights the entire trauma healthcare team. Participants 
may attend locally at Naval Medical Center San Diego or receive 
the program by satellite or video teleconference. Continuing 
Education credit is available. 

Twenty invited faculty, both military and civilian, will 
guide the audience through the Continuum of Care. Symposium 
panalists, composed of physicians , nurses, first responder 
corpsmen/medics , and other specialists , will define the low- 
intensity warfare environment, determine the differences in 
routine military and civilian settings , and discuss how the 
management of injuries and situations impacts optimal care from 
the pre-hospital setting to definitive care. 

This non— scrambled, public domain program will be available 
throughout The United States, Hawaii and Puerto Rico on C—Band 
analog satellite bands. It is also available on the 
Military/Federal GETN/Warrior satellite networks whose downlinks 
are found at Army and Air Force installations and at over 200 
Air National Guard locations. Other federal networks may also 
carry this program. Satellite frequency information will be 
available after registering. 

The program will be available on a space-available basis on 
the USN CNET and USA TNET VTC networks and to a limited number 
of non— satellite capable VTC sites via dial— up video terrestrial 


Videotapes of this program will be available later for 
educational purposes. CMEs, however, may be offered on a case- 
by-case basis only. 

All military and civilian sites must register on-line to 
receive satellite coordinates or Warrior Illumination 
authentication . 

Continuing Education credits will be offered to medical 
personnel on— site, via satellite and via VTC if coordinated with 
a site coordinator. Site coordinators must register on-line. 
Site coordinators will receive further information about credit 
requirements . 

Schedule and registration information may be found at www—, or call Ed 
Kronholm, Satellite Programs Coordinator, toll free at 888—820— 
4898. For technical questions about connecting via VTC, contact 
Mike La France, NMCSD VTC coordinator, at 619-532-5380. 


Headline: USNH Okinawa supports State Department 
By HM3 (FMF) Jeremy R. Dunlap, USNH Okinawa 

OKINAWA - Eight staff members from USNH Okinawa, Japan, were 
recently given the opportunity to participate in the training of 
U.S. Embassy medical personnel from the State Department. 

The USNH team traveled to Bangkok, Thailand, where they 
conducted a re-certification course in basic life support during 
the annual State Department Medical Conference. 

The course was taught using the American Heart Association 
and Military Training Network guidelines for cardiopulmonary 
resuscitation and also included training in the use of the 
automatic external defibrillator. 

Approximately fifty members of the embassy staff were trained 
and certified during this one-day course. 


Headline: TRICARE question and answer 

Question: If I am already confident that I need to see a 
specialist, do I need to contact my PCM before I go? What will 
happen if I don't? 

Answer: For those enrolled in TRICARE Prime, it is always 
necessary to first consult your Primary Care Manager for 
specialty care. If it is necessary for you to see a specialist, 
your PCM will help make an appointment for you. If you see a 
specialist on your own without prior approval from your PCM, you 
will be participating in Prime's Point-of-Service option and 
will be responsible for 50 percent of the cost after the 
deductible ($300 for single enrollment and $600 for family 
enrollment) is met. 


Headline: The truth about fad diets 
From National Naval Medical Center 

BETHESDA, Md.- We have all heard the ads: "Lose all the 
weight you want, without diet and exercise!" or "melt those 

pounds away... lose up to 30 pounds a month, guaranteed!" 

The American public is faced with an overwhelming amount of 
food and nutrition information. Despite the aggressive attempts 
by the federal government and various national health 
organizations to educate the public on healthy eating and 
nutrition, fad diets are everywhere. 

Unfortunately, it is not always clear how to distinguish 
nutrition facts from nutrition fallacy. Nutrition facts are 
those that have been established by research in a laboratory 
setting; nutrition fallacy consists of erroneous facts or 
misinterpretation of nutrition science. 

How can you tell if a nutrition claim is true? Here is a 
checklist of what to look for in a nutritional product or diet 
promotion: Does it promise a quick fix with minimal effort? Is 
it advertised primarily by the use of case histories or 
testimonials? Does it contain some secret ingredient? Does it 
dismiss currently accepted nutrition theories or practices? Does 
it limit the diet to a specific time (3-day, 7-day) ? Is it 
expensive? Does it seem too good to be true? 

Quick weight loss is not a permanent solution to obesity. 
Successful weight loss means losing weight and keeping it off. A 
weight reduction diet that incorporates changes in eating and 
exercise habits facilitating gradual weight loss has been proven 
to be the most successful . 

The problem with fad diets is that they restrict or limit 
certain foods or entire food groups which is unrealistic, and 
possibly dangerous (i.e. The Beverly Hills fruit diet, the 
Cabbage Soup diet, the 7-day fat burning diet) . 

A seven-day diet may allow a person to lose some weight, but 
what happens after the 7 days are over? Fad diets such as these 
cause a temporary loss of water, which gives the false 
impression of losing weight . 

High-protein, low-carbohydrate diets are known for this. Once 
eating returns to normal, the weight returns to pre-diet levels. 

Another common fallacy is the "fat— burning" diet. Grapefruit 
or other foods will not burn fat . 

You burn fat by either eating less food than your body needs 
or doing aerobic exercise. To lose weight, you must create a 
calorie deficit, meaning you burn more calories than you take 
in . Remember that 3, 500 calories equals a pound of fat . 

If you create a 500-calorie deficit each day for a week, you 
will theoretically lose one pound of body fat . This is why 
weight loss is such a slow process. 

Any diet that promises that you will lose more that 2 pounds 
per week is probably a fad diet-don 't be fooled. Remember the 
cardinal rule of nutrition: Don't believe everything you read 
about nutrition from someone trying to sell you something. 


Comments and ideas for MEDNEWS are welcome. Story Submissions 
are highly encouraged. Contact MEDNEWS editor. At email:; telephone 202-762-3218, (dsn) 762, or 
fax 202-762-3224.